In recent years, breakthrough advancements have been achieved in cancer immunotherapy, particularly through immune checkpoint inhibition targeting the PD-1/PD-L1 pathway. This approach reverses the immunosuppressive effect of tumour cells on T lymphocytes, thereby reinstating antitumour immune responses and demonstrating considerable clinical efficacy. Photodynamic therapy (PDT), which operates via a unique localised mechanism, not only induces direct tumour cell ablation by generating reactive oxygen species (ROS) through photosensitizers, but also promotes immunogenic cell death (ICD), leading to the activation of systemic antitumour immunity. Growing evidence indicates that the combination of PD-1 blockade and PDT produces cooperative effects within the tumour microenvironment, amplifying immune activation. Such a strategy alleviates T-cell immunosuppression post-PDT, thereby forming a positive feedback loop that improves therapeutic performance. This review summarises the mechanistic rationale underlying the combined application of PDT and anti-PD-1 therapy, with emphasis on their synergistic interplay in the tumour microenvironment, as well as recent advances in nanomaterial-based strategies aimed at resolving hypoxia-related limitations and enhancing targeting precision. Furthermore, current challenges and future directions for this combinatorial regimen are discussed.
{"title":"Photodynamic-Immunotherapy Synergy: Decoding the Spatiotemporal Regulation of Tumour Immunogenicity for Enhanced PD-1 Blockade","authors":"Zhenni ChenLiu, Leihan Wang, Chen Gu, Dong Tang","doi":"10.1111/imm.70049","DOIUrl":"10.1111/imm.70049","url":null,"abstract":"<p>In recent years, breakthrough advancements have been achieved in cancer immunotherapy, particularly through immune checkpoint inhibition targeting the PD-1/PD-L1 pathway. This approach reverses the immunosuppressive effect of tumour cells on T lymphocytes, thereby reinstating antitumour immune responses and demonstrating considerable clinical efficacy. Photodynamic therapy (PDT), which operates via a unique localised mechanism, not only induces direct tumour cell ablation by generating reactive oxygen species (ROS) through photosensitizers, but also promotes immunogenic cell death (ICD), leading to the activation of systemic antitumour immunity. Growing evidence indicates that the combination of PD-1 blockade and PDT produces cooperative effects within the tumour microenvironment, amplifying immune activation. Such a strategy alleviates T-cell immunosuppression post-PDT, thereby forming a positive feedback loop that improves therapeutic performance. This review summarises the mechanistic rationale underlying the combined application of PDT and anti-PD-1 therapy, with emphasis on their synergistic interplay in the tumour microenvironment, as well as recent advances in nanomaterial-based strategies aimed at resolving hypoxia-related limitations and enhancing targeting precision. Furthermore, current challenges and future directions for this combinatorial regimen are discussed.</p>","PeriodicalId":13508,"journal":{"name":"Immunology","volume":"176 4","pages":"438-453"},"PeriodicalIF":5.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/imm.70049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LAG-3+ regulatory T cells suppress the effector but not the proliferative response of naïve cognate antigen-specific CD4+ T cells in vivo. The Th1, Th2, and Th17 machineries in the suppressed CD4+ T cells are impaired. Genomic study of the suppressed T cells revealed enhanced T cell receptor signalling with up-regulation of immune checkpoints, including PD-1 and PD-L1, and down-regulation of pro-inflammatory pathways. Although oxidative metabolism is reduced, the suppressed T cells retain proliferative capacity and acquire LAG-3 expression with proliferation. They acquire the capacity of LAG-3+ regulatory T cells. They inhibit the IFN-γ response of co-cultured naïve CD4+ T cells in vitro. Upon adoptive transfer, they rescue mice from lethal autoimmune pulmonitis in a dose-dependent manner. Our results implied a mechanism for the maintenance of long-lasting antigen-specific tolerance.
{"title":"LAG-3+ Regulatory T Cells Suppress Effector Function of T Cells and Allow Their Proliferation Into Regulatory T Cells","authors":"Avijit Dutta, Shi-Chuen Miaw, Tse-Ching Chen, Chia-Shiang Chang, Yu-Lin Huang, Yung-Chang Lin, Chun-Yen Lin, Ching-Tai Huang","doi":"10.1111/imm.70046","DOIUrl":"10.1111/imm.70046","url":null,"abstract":"<p>LAG-3<sup>+</sup> regulatory T cells suppress the effector but not the proliferative response of naïve cognate antigen-specific CD4<sup>+</sup> T cells in vivo. The Th1, Th2, and Th17 machineries in the suppressed CD4<sup>+</sup> T cells are impaired. Genomic study of the suppressed T cells revealed enhanced T cell receptor signalling with up-regulation of immune checkpoints, including PD-1 and PD-L1, and down-regulation of pro-inflammatory pathways. Although oxidative metabolism is reduced, the suppressed T cells retain proliferative capacity and acquire LAG-3 expression with proliferation. They acquire the capacity of LAG-3<sup>+</sup> regulatory T cells. They inhibit the IFN-γ response of co-cultured naïve CD4<sup>+</sup> T cells in vitro. Upon adoptive transfer, they rescue mice from lethal autoimmune pulmonitis in a dose-dependent manner. Our results implied a mechanism for the maintenance of long-lasting antigen-specific tolerance.</p>","PeriodicalId":13508,"journal":{"name":"Immunology","volume":"177 2","pages":"317-328"},"PeriodicalIF":5.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/imm.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Metabolic reprogramming is a hallmark of cancer, enabling tumour cells to flexibly adapt to fluctuating microenvironmental conditions, sustain uncontrolled proliferation, and acquire resistance to conventional therapies. Tumour metabolism is not limited to the classical Warburg effect but encompasses a dynamic interplay between glycolysis, oxidative phosphorylation (OXPHOS), fatty acid metabolism, and amino acid utilisation, each fine-tuned according to tissue context, tumour type, and stage of progression. Central regulators such as hypoxia-inducible factor-1 (HIF-1), MYC, p53, peroxisome proliferator-activated receptors (PPARs), oestrogen receptor (ER), and sterol regulatory element-binding proteins (SREBPs) orchestrate these pathways, linking nutrient availability to oncogenic signalling and transcriptional control. This review synthesises current evidence on these interconnected metabolic circuits and critically evaluates existing controversies, such as the dual reliance on glycolysis and OXPHOS, metabolic plasticity under therapeutic pressure, and the role of stromal–tumor metabolic crosstalk. Beyond established pathways, emerging areas are transforming our understanding of tumour metabolism. Single-cell metabolic profiling and spatial metabolomics reveal profound intratumoral heterogeneity, while immunometabolism highlights the bidirectional influence of cancer cells and immune cells within the tumour microenvironment (TME). Epigenetic regulation, driven by metabolites that serve as cofactors for chromatin-modifying enzymes, further integrates metabolic states with transcriptional reprogramming and therapy response. Translationally, targeting metabolic dependencies remains challenging; promising therapeutic opportunities are being developed, including inhibitors of lactate transporters, fatty acid oxidation, and glutamine metabolism. This review integrates mechanistic insights with translational perspectives, providing conceptual models, summary tables, and schematic illustrations to clarify complex networks and highlight clinically relevant opportunities. By mapping the evolving landscape of cancer metabolism, we aim to illuminate both the challenges and the therapeutic potential of exploiting metabolic vulnerabilities in oncology.
{"title":"Molecular Mediators of Metabolic Reprogramming in Cancer: Mechanisms, Regulatory Networks, and Therapeutic Strategies","authors":"Sana Ahuja, Sufian Zaheer","doi":"10.1111/imm.70045","DOIUrl":"10.1111/imm.70045","url":null,"abstract":"<p>Metabolic reprogramming is a hallmark of cancer, enabling tumour cells to flexibly adapt to fluctuating microenvironmental conditions, sustain uncontrolled proliferation, and acquire resistance to conventional therapies. Tumour metabolism is not limited to the classical Warburg effect but encompasses a dynamic interplay between glycolysis, oxidative phosphorylation (OXPHOS), fatty acid metabolism, and amino acid utilisation, each fine-tuned according to tissue context, tumour type, and stage of progression. Central regulators such as hypoxia-inducible factor-1 (HIF-1), MYC, p53, peroxisome proliferator-activated receptors (PPARs), oestrogen receptor (ER), and sterol regulatory element-binding proteins (SREBPs) orchestrate these pathways, linking nutrient availability to oncogenic signalling and transcriptional control. This review synthesises current evidence on these interconnected metabolic circuits and critically evaluates existing controversies, such as the dual reliance on glycolysis and OXPHOS, metabolic plasticity under therapeutic pressure, and the role of stromal–tumor metabolic crosstalk. Beyond established pathways, emerging areas are transforming our understanding of tumour metabolism. Single-cell metabolic profiling and spatial metabolomics reveal profound intratumoral heterogeneity, while immunometabolism highlights the bidirectional influence of cancer cells and immune cells within the tumour microenvironment (TME). Epigenetic regulation, driven by metabolites that serve as cofactors for chromatin-modifying enzymes, further integrates metabolic states with transcriptional reprogramming and therapy response. Translationally, targeting metabolic dependencies remains challenging; promising therapeutic opportunities are being developed, including inhibitors of lactate transporters, fatty acid oxidation, and glutamine metabolism. This review integrates mechanistic insights with translational perspectives, providing conceptual models, summary tables, and schematic illustrations to clarify complex networks and highlight clinically relevant opportunities. By mapping the evolving landscape of cancer metabolism, we aim to illuminate both the challenges and the therapeutic potential of exploiting metabolic vulnerabilities in oncology.</p>","PeriodicalId":13508,"journal":{"name":"Immunology","volume":"177 1","pages":"1-43"},"PeriodicalIF":5.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/imm.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}